Organization
LEGACY INFUSION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM S. HERDTNER (VP, FINANCE AND CFO)
(513) 576-0262
Entity
Organization
Contact information
Practice address
9969 CINCINNATI DAYTON RD, WEST CHESTER, OH 45069-3823
(937) 384-3873
(513) 942-2846
Mailing address
1700 EDISON DR, SUITE 300, MILFORD, OH 45150-2729
(513) 576-0262
(513) 576-0379
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
022051200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3134101
—
OH
Enumeration date
05/27/2010
Last updated
03/11/2015
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